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Registrar: MR CGP Update - H pylori testing in dyspepsia.(Member of the Royal College of General Practitioners )
Current situation
- Managing dyspepsia costs the NHS around pounds 1.1 billion each year.
- There is currently inadequate evidence to guide whether full-dose treatment with a proton pump inhibitor for one month or H pylori 'test and treat' should be offered first.
- There is currently plenty of debate regarding which is the best investigation to diagnose H pylori.
What is the evidence?
- In one study, 500 patients with simple dyspepsia were randomised to testing for H pylori, followed by eradication, if positive, or prompt endoscopy.
Patients in both groups recorded the same number of days with and without dyspepsia …
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- Dyspepsia is partly due to cognitive factors.(BMJ family highlights)(Brief...
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Magazine article from: British Medical Journal
October 11, 2003
700+ words
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- Management of dyspepsia should be individualised. (Letters).
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Magazine article from: British Medical Journal
Maskrey, Neal Micklewright, Ruth
August 3, 2002
700+ words
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- GP Registrar: H pylori tests and dyspepsia.
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Magazine article from: GP
April 1, 2005
700+ words
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- Dyspepsia.
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Magazine article from: British Medical Journal
Delaney, Brendan C
March 31, 2001
700+ words
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- Registrar: MRCGP Exam Update - H pylori tests for dyspepsia.
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Magazine article from: GP
February 9, 2007
700+ words
